HomeMy WebLinkAbout0122358-Building (roof) CITY OF OSHKOSH No 122358
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 402 WAUGOO AVE Owner KONRAD BEHLMAN FUNERAL HOME LTD Create Date 11/01/2006
Designer Contractor LAKEWOOD ROOFING
Category 223 - Alteration Offices, Banks, Professional Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning Class of Const: Size
Unfinished /Basement Sq. Ft. Rooms Height Ft. ❑ Projection
Finished /Living Sq. Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs
Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature COMM /Add one layer of rubber roofing with a recovery board to the entry way roof on the south side.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,150.00 Plan Approval $0.00 Permit Fee Paid $46.00 Park Dedication $0.00
Issued By: l. 7417 Date 11/01/2006 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 0200570000
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address P.O. BOX 15 WINNEBAGO WI 54985 - 0015 Telephone Number 235 -1955
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Inspection Services Division
P O Box 1130 L/
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050 0./HKOJH
Fax: (920) 236 -5084
ON THE WATER
Roofing & Siding Permit Application
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903 -1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever i s greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account l
JOB ADDRESS d-4.oa. LA J n L(„j, t30
OWNER 1N■)pJ'Ki■lJ I B aIV IAL
CONTRACTOR Litt t„.1 c \ eP 11.)C
I am the: ❑ Owner OR Contractor
USE CATEGORY
❑ Single Family ❑ Duplex ❑ Multi - Family ❑ Rental Commercial ❑ Industrial
Work being done:
ROOFING
❑ Tear off and replace existing roofing on ❑ house, ❑ garage
❑ Replace wood decking
'Add 1 layer of roofing to the existing I L layer(s) on ❑ house, ❑ garage
This work is being done due to ❑ Hail Damage ❑ Other
SIDING
❑ Install siding on 0 house, ❑ garage
❑ Replacing vinyl with vinyl
❑ Replacing steel or aluminum with vinyl (circle steel or aluminum) t� Q
❑ Replacing with 1 `� ;1 00
This work is being done due to ❑ Hail Damage ❑ Other ' � J
When siding is done, one of the boxes below must be checked: ,
1) ❑ Electric — Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND ❑ Electric Installation Verification form is attached OR ❑ Separate Elect Pemrit will be requested.
2) ❑ Electric - Not Applicable because: ❑ J Blocks previously installed. ❑ No outside lights. ❑ Other
❑ Install new or ❑ Replace gutters
❑ Install new or ❑ Replace downspouts
Other related work being done: (please note) & eQc,@. U O4 1 - br- t- ®cl n
r-ecwr bictrea. weA r
Value of the job $ 3)150. 01) (include fair market price for labor even if you are not paying for labor) 03/02